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目的探讨极低出生体重儿呼吸系统并发症的预防与处理。方法回顾性分析本院2001年1月至2006年12月收治的76例极低出生体重儿。结果76例中合并呼吸窘迫综合征(RDS)13例,呼吸暂停37例,新生儿肺炎4例。院内死亡16例,死亡的主要原因是Ⅲ~Ⅳ期RDS,放弃治疗自动出院6例,痊愈或好转出院54例。结论对极低出生体重儿必须密切监护,表面活性物质的应用能减少RDS的发生,提高生存率。
Objective To investigate the prevention and treatment of respiratory complications in very low birth weight infants. Methods A retrospective analysis of our hospital from January 2001 to December 2006 admitted 76 cases of very low birth weight infants. Results Of the 76 cases, 13 were complicated with respiratory distress syndrome (RDS), 37 were apnea, and 4 were neonatal pneumonia. In-hospital death in 16 cases, the main cause of death is Ⅲ ~ Ⅳ RDS, to give up the treatment of 6 cases of automatic discharge, 54 cases were cured or improved discharge. Conclusion Very low birth weight children must be closely monitored, the application of surfactant can reduce the incidence of RDS and improve survival.